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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Weakness, Tiredness, Intermittent Chest Pain. Had Abdominal Aneurysm Repair, Stent In Heart. Advised 2d Echo. Is The Issue Serious?

My father had abdominal aneurysm repair by stent 2 weeks ago. He is 87 years old. For the past couple of days, he has worsened weakness and tiredness and chest pain on and off. He has had by pa surgery 20 years ago and stent in the heart one year ago. He saw a cardiologist today who changed his blood pressure meds and is sending him for a 2 d echo next week. Should we be more concerned?
Sat, 20 Jul 2013
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Cardiologist 's  Response
Dear patient,

It is always of concern if there is chest pain in the setting of known vascular disease, heart disease and stent or bypass surgeries; he should be followed closely to see the response in the medication adjustment; if no improvement, he may need another cardiac catheterization to look at the status of the coronary arteries, particularly the area of stenting; if he experiences acute worsening discomfort he should be seen early hopefully in an Emergency Department.

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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Weakness, Tiredness, Intermittent Chest Pain. Had Abdominal Aneurysm Repair, Stent In Heart. Advised 2d Echo. Is The Issue Serious?

Dear patient, It is always of concern if there is chest pain in the setting of known vascular disease, heart disease and stent or bypass surgeries; he should be followed closely to see the response in the medication adjustment; if no improvement, he may need another cardiac catheterization to look at the status of the coronary arteries, particularly the area of stenting; if he experiences acute worsening discomfort he should be seen early hopefully in an Emergency Department. Yours truly, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN